THE ASSOCIATED CHAMBERS OF COMMERCE & INDUSTRY

OF INDIA
ASSOCHAM Corporate Office
5, Sardar Patel Marg, Chanakyapuri, New Delhi - 110021
Tel : 46550555 (Hunting line) Fax : 23017008
E Email: sunita.dobhal@assocham.com;mem_dept@assocham.com
Internet : www.assocham.org

APPLICATION FORM FOR ORDINARY MEMBERSHIP

We would like to apply for admission as Ordinary Member of ASSOCHAM

1. Name of Chamber/Association...............................................................................................

2. Name and Designation of CEO

3. Year of Establishment

4. Whether Registered under any enactment Yes No

If so, please specify which enactment .

5. Address of Registered Office ..............................................................

...............................................................................................................................

Tel ....................................... Fax ......................................E-mail ...........................................

6. Address for Correspondence ..............................................................

..............................................................................................................

Tel ....................................... Fax ......................................E-mail

7. Whether a Chamber of Commerce/Industrial Association/Trade Association/ Others, if

any...................................................
...
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8. Number of Members:
9. Nature of Business :..
10. Serving Specific Sector/Industry : ..
11. Annual Gross Income : Rs. .
12. Brief Description of Activities : .
...
13. Particulars of Executive Committee/Office-bearers/Chief Executives in
Secretariat: ......................................................................................
.................

14. Cheque No.. dated ..for Rs. drawn on

.. (Bank) enclosed towards annual subscription and admission fee as per
schedule.

Signature of the Applicant

alongwith Stamp

Date..

Please enclose your latest Annual Report and Accounts together with List of Committee Members.
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Subscription Schedule for Ordinary Membership

Article 6 (c)

The annual subscription payment by each Ordinary Member shall be based on the gross
income of the Ordinary Member which is as follows:
Subscription*
(Rs.)

Gross Income upto Rs.1,00,000 - 7,500/-

Gross Income between Rs.1,00,000 and Rs.2,00,000 - 10,000/-
Gross income exceeding Rs.2,00,000 - 15,000/-

*PS: Service Tax 15% to be added in the subscription fee.

An Admission fee (one time) of Rs.1,500/- shall be charged to all new applicants.
Service Tax 15% is to be added.
Gross Income:Gross Income means gross total income before deducting any expenditure
or other outgoings of any kind and before charging depreciation.